Part 1- General -- The concept of total hip arthroplasty: The beginning -- Arthroplasty of the hip - A new operation � From low friction to low frictional torque -- Statements, comments and lessons from the past -- Ultra High Molecular Weight Polyethylene as the material for the cup -- Acrylic Cement -- A new surgical science -- Long-term follow-up � the zFirst 500y -- Clinical Results -- Clinical assessment -- The long-term results of low-friction arthroplasty of the hip performed as a primary intervention -- Radiographic assessment of the osteoarthritic hip -- Exposure of the Hip Joint -- Trochanteric osteotomy -- Instrument Tray System -- Post-operative length of hospital stay -- Part 2- Infection. � Deep Infection -- Deep infection: Establishing the incidence -- Deep Infection: Theatre Gowns -- Deep Infection: The role of Acrylic cement -- Antibiotic containing acrylic cement ACAC -- Leaching out from Acrylic cement -- Antibiotic containing cement spacers -- Patients at risk for deep infection -- Urethral instrumentation after LFA -- Late haematogenous infection -- Management of deep infection -- Part 3- Dislocation -- Dislocation -- Revision for recurrent or irreducible dislocation -- Revision for dislocation: Survivorship analysis -- Trocanteric Osteotomy and Dislocation -- Design of components, range of movement. impingement, dislocation -- Increasing the range of movements, putting off impingement -- Head size, range of movements, impingement, dislocation and cup loosening -- Part 4- Cup -- Bone-cement interface: The Cup - radiographic appearances -- Clinical results, radiographic appearances, histological findings -- The Charnley Acetabular cup -- Part 5- Wear -- Wear of the UHMWPE cup -- Factors affecting wear of the UHMWPE cup -- Factors affecting wear: Patient activity level -- Wear of UHMWPE Cup, endosteal cavitation and component loosening -- Comparison of direct and radiographic wear measurements -- Penetration of UHMWPE cup, Wear or creep -- Part 6- Stem -- Trochanteric osteotomy, trochanteric non-union and revision for dislocation -- Loosening of components -- Stem design and fixation -- Patterns of failure of stem fixation -- Leg over-lengthening after total hip arthroplasty. Identification of patients at risk -- Matt surface finish of the Charnley stem -- Dislocation and Fracture of the Stem -- Changes of stem design: 1968 � 1976 -- Total hip arthroplasty: a foreign body bursa -- Total hip replacement � patterns of load transfer -- Position of the stem within the medullary canal -- Part 7- Clinical Results and Follow-up -- Radiographic appearances and clinical results -- The reasons for follow-up -- The reason for and the frequency of follow-up -- Patterns of failure and revisions: Guidelines for follow-up -- Changing patterns of patients presenting for the operation.

In light of more clinical experience, this book reviews the principles and concepts underlying Professor Sir John Charnley�s original work Low Friction Arthroplasty of the Hip: Theory and Practice. Consistency of design, materials, principles of surgical techniques and regular follow-up of a large number of patients has offered truly long-term results to be presented in this book. Charnley Low-Frictional Torque Arthroplasty of the Hip: Practice and Results involves studies spanning from 1962 - 2015 to successfully indicate the avenues for further development and new ideas in clinical practice. With over 40 years of research included, this book is not a sudden diversion into a speculative area of hip replacement surgery. It is a carefully documented work of the evolution of the Charnley low-frictional torque arthroplasty to assist surgeons who practice this technique in their daily clinical work. .